Article
Multidisciplinary Sciences
Hritika D. Pai, Stephen Rajan Samuel, K. Vijaya Kumar, Namrata S. Chauhan, Charu Eapen, Alicia Olsen, Justin W. L. Keogh
Summary: This study explored the PA promotion practices, beliefs, and barriers of Indian nurses working with cancer survivors, and investigated the potential influence of their educational qualification. The findings showed that nurses believed oncologists and physiotherapists were primarily responsible for providing PA information to cancer survivors. Most nurses promoted PA post treatment, but only a small percentage promoted PA across different treatment periods. Lack of knowledge and lack of time were the most commonly cited barriers. Educational qualification did not significantly affect the PA promotion practices. Overall, nurses in India are willing to promote PA among cancer survivors but require more training and support.
Article
Nutrition & Dietetics
Koen Huysentruyt, Kim Brunet-Wood, Robert Bandsma, Leah Gramlich, Bonnie Fleming-Carroll, Brenda Hotson, Rebecca Byers, Heather Lovelace, Rabin Persad, Daina Kalnins, Andrea Martinez, Valerie Marchand, Melanie Vachon, Jessie M. Hulst
Summary: A standardized protocol for clinical assessment and management of Disease-associated malnutrition (DAM) is uncommon in pediatric tertiary care hospitals in Canada, with routine nutritional screening upon admission not widely adopted and ongoing nutritional care of malnourished children after discharge seeming cumbersome. Adoption and implementation of a uniform clinical care pathway for malnutrition among pediatric hospitals is needed.
Article
Rheumatology
Allan Gibofsky, Dorothy McCabe
Summary: US rheumatologists generally have a good understanding and acceptance of biosimilar products, especially when initiating treatment in biologic-naive individuals. However, they are hesitant to switch patients who are responding well to reference products to biosimilars. Additional education on biosimilars is needed to better inform treatment decisions by rheumatologists.
Article
Medicine, General & Internal
Andy K. H. Lim, Meor Azraai, Jeanette H. Pham, Wenye F. Looi, Daniel Wirth, Ashley S. L. Ng, Umesh Babu, Bharat Saluja
Summary: This study found a significant association between antipsychotic medication use and severe tachycardia in psychiatric patients, with factors such as age, anticholinergic medication use, temperature, and hypoglycemia potentially influencing this association.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Nursing
S. Sokratous, K. Kaikoush, M. D. Mpouzika, G. Alexandrou, N. M. Karanikola
Summary: This study aimed to explore the attitudes, beliefs, and knowledge about medical cannabis use among nurses and midwives in Cyprus. The results showed that most participants believed that medical cannabis use is acceptable for certain conditions, but lacked knowledge about its risks and benefits. Participants recommended integrating medical cannabis training into academic programs and suggested measures to reduce recreational cannabis use.
Article
Dermatology
Zhaoyu Li, Andrea P. Marshall, Frances Lin, Yanming Ding, Wendy Chaboyer
Summary: This study aimed to describe and compare pressure injury prevention strategies used by medical and surgical nurses in China. Observations and chart audits revealed that repositioning was the most frequently used prevention strategy, but other strategies such as skin care, nutritional risk screening, and support surface use were suboptimal. Improvement is needed in various prevention strategies such as nutrition, skin care, and support surfaces.
INTERNATIONAL WOUND JOURNAL
(2022)
Article
Nursing
Matteo Amicucci, Immacolata Dall'Oglio, Valentina Biagioli, Orsola Gawronski, Simone Piga, Riccardo Ricci, Anna Angelaccio, Domenica Elia, Mario E. Fiorito, Luigi Marotta, Massimiliano Raponi, Emanuela Tiozzo
Summary: This study investigated the level of participation in research activities among nurses and allied health professionals in an Italian pediatric hospital over the past ten years. It found that factors such as having a Master's degree or advanced course, working as an allied health professional or ward manager, regularly reading scientific journals, and being involved in internal hospital research groups or specific research courses were significantly associated with participation in research projects, speaking at conferences, and writing scientific papers. It is important to promote research interest and competencies among healthcare professionals to improve their involvement in research activities.
Article
Education & Educational Research
Philippe Robert, Felix Begin, Sasha Menard-Castonguay, Anne-Julie Frenette, Hector Quiroz-Martinez, Francois Lamontagne, Emilie-Prudence Belley-Cote, Frederick D'Aragon
Summary: Despite a positive attitude towards organ donation, medical students have limited knowledge on the subject. Findings suggest the necessity of a formal curriculum on organ donation for medical students.
BMC MEDICAL EDUCATION
(2021)
Article
Critical Care Medicine
Joshua Allen, Judy Currey, Daryl Jones, Julie Considine, Liliana Orellana
Summary: A prediction model to estimate the risk of Medical Emergency Team (MET) review within 48 hours of emergency admission was developed and validated using routinely available information at the time of hospital admission. The model showed good discrimination and calibration in both the training and validation sets, using only nine predictor variables. Further investigation is needed to understand the utility of the model in improving patient outcomes.
CRITICAL CARE MEDICINE
(2022)
Article
Psychology, Multidisciplinary
Loc Tan Nguyen, Bui Phu Hung, Uyen Thi Thuy Duong, Tu Thanh Le
Summary: This study investigates the beliefs of teachers and students regarding pronunciation instruction in tertiary EFL education in Vietnam. Both groups agree that pronunciation teaching is important and should be delivered systematically with a communicative approach. They believe communicative pronunciation teaching has the potential to improve learners' pronunciation and facilitate their general communicative purposes.
FRONTIERS IN PSYCHOLOGY
(2021)
Article
Nursing
Linda H. Yoder, Adem Cengiz, Terri Hinkley, Robin A. Hertel, Lynn Gallagher-Ford, Bindu Koshy Thomas
Summary: Medical-surgical nurses have positive beliefs about EBP, but self-rate low in EBP competencies. Nurses with special certifications or higher education levels perform better in EBP competencies. Providing support at the personal and organizational levels can enhance nurses' EBP competencies and the adoption of EBP in practice.
WORLDVIEWS ON EVIDENCE-BASED NURSING
(2022)
Article
Nursing
Inger K. Holmstrom, Elenor Kaminsky, Ylva Lindberg, Douglas Spangler, Ulrika Winblad
Summary: Telephone triage at emergency medical dispatch centres is challenging for registered nurses due to lack of visual cues, knowledge about the patient, and time pressure. Difficult calls include communication barriers, calls from agitated or rude callers, and calls about psychiatric illness. The study highlights the need for further investigation into actual emergency calls to better understand the difficulties faced by registered nurses.
Article
Nursing
Mina Azimirad, Carin Magnusson, Allison Wiseman, Tuomas Selander, Ilkka Parviainen, Hannele Turunen
Summary: The role of medical emergency team (MET) in managing deteriorating patients and enhancing patient safety is greatly influenced by teamwork. A study was conducted to identify teamwork-related needs of the MET from MET nurses' perspectives and assess the associations between MET nurses' perceptions of teamwork and their work experience and education. The study revealed key teamwork elements that need improvement, such as decision-making, conflict resolution skills, valuing team members, and team leadership.
NURSING IN CRITICAL CARE
(2022)
Article
Management
Olamide O. Afolalu, Sue Jordan, Una Kyriacos
Summary: In Nigeria, doctors and nurses have different perceptions on factors influencing medical error reporting with a certain proportion of respondents never reporting errors. Many respondents are unfamiliar with reporting systems and consider them ineffective, with main barriers including lack of confidentiality and blame culture.
JOURNAL OF NURSING MANAGEMENT
(2021)
Article
Oncology
Elizabeth A. Sarma, Samantha L. Quaife, Katharine A. Rendle, Sarah C. Kobrin
Summary: This study found that adults with lower levels of education were more likely to endorse negative cancer beliefs, such as treatment being worse than cancer, cancer being a death sentence, and not wanting to know if they have cancer, compared to those with a bachelor's degree. Positive cancer beliefs were generally endorsed by the majority of participants. Efforts to improve early detection behaviors in lower SES groups may benefit from addressing and reducing negative cancer beliefs.
Review
Cardiac & Cardiovascular Systems
Hugh Fleet, David Pilcher, Rinaldo Bellomo, Tim G. Coulson
Summary: Postoperative atrial fibrillation (POAF) is common after cardiac surgery and associated with increased hospital length of stay, patient morbidity and mortality. The reporting of factors associated with POAF is inconsistent and often contradictory. Existing POAF prediction models have low discrimination, potential bias, and limited clinical applicability. Large cohort studies are needed to prospectively collect AF relevant data and validate the findings in external data sets.
Article
Anesthesiology
Rahul Costa-Pinto, Fumitaka Yanase, Lucy M. Kennedy, Lachie J. Talbot, Jeremy P. M. Flanagan, Helen Opdam, Louise M. Ellard, Rinaldo Bellomo, Daryl A. Jones
Summary: Postoperative 'enhanced care' models, such as the recovery high dependency unit introduced in this study, provide a cost-effective and efficient option for managing high-risk surgical patients. The study found a relatively low rate of intensive care unit admissions and medical emergency team calls post-discharge to the ward in patients who received care in the recovery high dependency unit. This model may be worth considering and evaluating in other institutions for the care of their higher risk surgical patients.
ANAESTHESIA AND INTENSIVE CARE
(2023)
Article
Emergency Medicine
Kartik Kishore, George Braitberg, Natasha E. Holmes, Rinaldo Bellomo
Summary: This study aimed to develop a predictive model for hospital admission using available electronic data. By analyzing data from nearly 600,000 ED patients, the machine learning model achieved an 86% accuracy in predicting hospital admission within 30 minutes of ED presentation. The predictive performance of this model is important for improving patient flow.
EMERGENCY MEDICINE AUSTRALASIA
(2023)
Article
Cardiac & Cardiovascular Systems
Eric K. W. Poon, Vassili Kitsios, David Pilcher, Rinaldo Bellomo, Jai Raman
Summary: A model was developed to predict the impact of future climate on ICU demand, based on the relationship between Australian ICU demand and long-lived large-scale climate measures. The results showed a strong correlation between Australian ICU demand and temperature and humidity indicators, and projected changes in demand based on future climate scenarios.
HEART LUNG AND CIRCULATION
(2023)
Article
Anesthesiology
Johnny Vogiatjis, Khin M. Noe, Andrea Don, Andrew D. Cochrane, Michael Z. L. Zhu, Julian A. Smith, Jennifer P. Ngo, Andrew Martin, Amanda G. Thrift, Rinaldo Bellomo, Roger G. Evans
Summary: In patients recovering from on-pump cardiac surgery, changes in norepinephrine dose are associated with reciprocal changes in urinary oxygen tension (PO2), potentially reflecting an effect of norepinephrine on renal medullary oxygenation.
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
(2023)
Review
Anesthesiology
Angela A. Frentiu, Kevin Mao, Carla Borg Caruana, Dev Raveendran, Luke A. Perry, Jahan C. Penny-Dimri, Dhruvesh M. Ramson, Reny Segal, Rinaldo Bellomo, Julian A. Smith, Zhengyang Liu
Summary: RED CELL DISTRIBUTION WIDTH (RDW) is a biomarker that can predict erythropoietic dysfunction and adverse outcomes after cardiac surgery. This systematic review and meta-analysis aimed to determine the prognostic value of RDW in cardiac surgery patients. The authors included 26 studies involving 48,092 patients and found that elevated preoperative RDW was associated with increased short- and long-term mortality, postoperative atrial fibrillation (POAF), and acute kidney injury (AKI). However, more research is needed to investigate the role of RDW in risk stratification of patients undergoing cardiac surgery.
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
(2023)
Article
Infectious Diseases
Rahul Costa-Pinto, Sarah Klink, Hannah Rotherham, Padeepa Perera, Liam Finlay, Karen Urbancic, Karl Vaz, Jason Trubiano, Rinaldo Bellomo
Summary: Our study found no significant liver or cardiac side effects associated with the use of voriconazole in critically ill patients with suspected COVID-19-associated pulmonary aspergillosis. These findings provide reassurance for clinicians when initiating therapy for such patients.
Article
Critical Care Medicine
Raphael Romano Bruno, Bernhard Wernly, Sean M. Bagshaw, Mark van den Boogaard, Jai N. Darvall, Lina De Geer, Pablo Ruiz de Gopegui Miguelena, Daren K. Heyland, David Hewitt, Aluko A. Hope, Emilie Langlais, Pascale Le Maguet, Carmel L. Montgomery, Dimitrios Papageorgiou, Philippe Seguin, Wytske W. Geense, J. Alberto Silva-Obregon, Georg Wolff, Amin Polzin, Lisa Dannenberg, Malte Kelm, Hans Flaatten, Michael Beil, Marcus Franz, Sigal Sviri, Susannah Leaver, Bertrand Guidet, Ariane Boumendil, Christian Jung
Summary: This large-scale analysis summarized individual data on the Clinical Frailty Scale (CFS) to predict outcomes in the intensive care unit (ICU). The study found that frailty was independently associated with ICU mortality in older patients. New frailty categories might better reflect its continuum and predict ICU outcomes more accurately.
ANNALS OF INTENSIVE CARE
(2023)
Article
Nursing
Sarah A. Lartey, Carmel L. Montgomery, Joanne K. Olson, Greta G. Cummings
Summary: The concept of leadership self-efficacy (LSE) is important for leadership development in nursing. Factors such as leadership training, individual traits, and organizational support influence LSE levels. Increasing LSE can enhance job performance and motivation for formal leadership roles. Developing and nurturing LSE among nurses is crucial for promoting leadership career aspirations.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2023)
Review
Emergency Medicine
Matthew J. Douma, Calah Myhre, Samina Ali, Tim A. D. Graham, Kim Ruether, Peter G. Brindley, Katie N. Dainty, Katherine E. Smith, Carmel L. Montgomery, Liz Dennet, Christopher Picard, Kate Frazer, Thilo Kroll
Summary: This article provides a systematic review and meta-synthesis of family experiences and care needs during cardiac arrest care, and presents treatment recommendations based on the findings.
JOURNAL OF EMERGENCY NURSING
(2023)
Review
Urology & Nephrology
Alexander Zarbock, Lui G. Forni, Marlies Ostermann, Claudio Ronco, Sean M. Bagshaw, Ravindra L. Mehta, Rinaldo Bellomo, John A. Kellum
Summary: Acute kidney injury (AKI) is a common clinical condition associated with increased mortality and the risk of developing chronic kidney disease and kidney failure. Currently, there is no specific therapy for AKI and novel interventions targeting the underlying pathophysiology are needed. Well-designed clinical trials with appropriate end points are crucial to evaluate the efficacy of these new interventions and improve outcomes.
NATURE REVIEWS NEPHROLOGY
(2023)
Article
Medical Laboratory Technology
Annemarie Albert, Sebastian Radtke, Louisa Blume, Rinaldo Bellomo, Michael Haase, Philipp Stieger, Ulrich Paul Hinkel, Ruediger C. Braun-Dullaeus, Christian Albert
Summary: This study investigated the impact of neutrophil gelatinase-associated lipocalin (NGAL) cutoff value selection and the acute kidney injury (AKI) classification system on the allocation of clinical AKI phenotypes and associated outcomes.
ANNALS OF LABORATORY MEDICINE
(2023)
Article
Hematology
Benjamin Sansom, Brooke Riley, Andrew Udy, Shyamala Sriram, Jeffrey Presneill, Rinaldo Bellomo
Summary: This study compared the use of CRRT during ECMO with non-ECMO-CRRT and found that CRRT used in conjunction with ECMO has a longer circuit life despite higher circuit pressures. However, significantly elevated access pressures may predict early CRRT circuit failure during ECMO, possibly due to progressive membrane thrombosis.
BLOOD PURIFICATION
(2023)
Article
Hematology
Kyle Christopher White, Kevin B. Laupland, Emily See, Ary Serpa-Neto, Rinaldo Bellomo
Summary: The effect of CRRT commencement on urine output was investigated in a retrospective cohort study. It was found that starting CRRT was associated with a significant decrease in urine output that continued over the first 24 hours.
BLOOD PURIFICATION
(2023)
Article
Critical Care Medicine
Marcus Young, Natasha E. Holmes, Kartik Kishore, Sobia Amjad, Michele Gaca, Ary Serpa Neto, Michael C. Reade, Rinaldo Bellomo
Summary: The use of natural language processing (NLP) can help identify behavioral disturbance phenotypes with different characteristics, prevalence, trajectory, treatment, and outcomes. In critically ill patients, those with an agitated phenotype are more likely to receive antipsychotic medications and have a higher risk of mortality compared to patients with a non-agitated or combined phenotype.
